Successful Implementation of Electronic Health Information Technology Week 6 Assignment:
NURS 5051 / NURS 6051: Transforming Nursing and Healthcare Through Technology
Week 6 Assignment: Successful Implementation of Electronic Health Information TechnologyAssignment Type: Major written paper (analysis of barriers and facilitators to successful implementation of electronic health information technology)
Module/Week: Week 6 (Module focused on System Development Life Cycle [SDLC] and Implementation)
Points: Typically 100 points (one of the largest assignments in the course)
Due Date: Sunday, 11:59 p.m. MT (end of Week 6)
Submission: Upload to Brightspace Assignment link; submit to Turnitin for originality check Assignment Instructions / Prompt (standard wording from Walden University syllabus and consistent student-shared examples):The purpose of this Assignment is to analyze the successful (or unsuccessful) implementation of electronic health information technology (HIT) in a healthcare organization, focusing on barriers, facilitators, and lessons learned.To Prepare Review this week’s Resources, particularly the content on the Systems Development Life Cycle (SDLC) and change management in healthcare informatics.
Reflect on your own experiences (or research documented cases) with the implementation of electronic health records (EHRs), clinical decision support systems (CDSS), computerized provider order entry (CPOE), barcode medication administration (BCMA), telehealth platforms, or other health IT systems.
Consider factors that contribute to successful adoption versus those that lead to resistance, delays, cost overruns, or failure.
The Assignment
Write a 4- to 6-page paper (not including title page and references) that addresses the following:Describe a specific example of electronic health information technology implementation Select one real-world example (from your practice, clinical experience, or well-documented case study) of HIT implementation (e.g., rollout of Epic/Cerner EHR, introduction of smart IV pumps, adoption of telehealth during COVID, or implementation of a new patient portal).
Provide context: setting (hospital, outpatient clinic, long-term care, public health), size of organization, type of technology, timeline, and primary goals of the project.
Analyze barriers to successful implementation Identify and discuss at least three major barriers encountered during the implementation process.
Examples may include: Technical barriers (e.g., poor system integration, lack of interoperability, inadequate infrastructure)
Organizational barriers (e.g., resistance to change, insufficient leadership support, inadequate training)
Human factors (e.g., nurse/physician resistance, workflow disruption, alert fatigue)
Financial barriers (e.g., high costs, budget overruns)
Regulatory or ethical issues
Support each barrier with evidence from the literature or your scenario.
Analyze facilitators of successful implementation Identify and discuss at least three major facilitators that contributed to (or could have improved) the success of the implementation.
Examples may include: Strong leadership and change management (e.g., nurse champions, executive sponsorship)
Comprehensive training and support (e.g., super-users, ongoing education)
End-user involvement in design and testing
Effective project management (e.g., clear timelines, stakeholder communication)
Use of evidence-based implementation frameworks (e.g., Kotter’s 8-Step Change Model, Rogers’ Diffusion of Innovations)
Support each facilitator with evidence from the literature or your scenario.
Recommend strategies for overcoming barriers and enhancing facilitators Propose at least three evidence-based strategies that could improve future HIT implementations based on your analysis.
Tie recommendations to SDLC phases (planning, analysis, design, implementation, evaluation) or change management theories.
Explain how these strategies could lead to better adoption, reduced resistance, improved patient safety, and enhanced outcomes.
Conclude with a reflection Reflect on the role of nurse leaders/informaticists in successful HIT implementation.
Discuss how this assignment has deepened your understanding of the complexities of technology adoption in healthcare.
Required Format & Guidelines Length: 4–6 pages (excluding title page and references).
Structure: Title page (APA format)
Introduction (brief overview of HIT implementation and purpose of paper)
Body (clearly labeled sections for Scenario Description, Barriers, Facilitators, Recommendations)
Conclusion/Reflection
References page
Formatting: Double-spaced, 12-pt Times New Roman or Arial, 1-inch margins.
APA 7th Edition: In-text citations and reference list required (minimum 5–7 scholarly sources).
Sources: Must include McGonigle & Mastrian textbook (Chapters 9–10 recommended) and at least 3–4 peer-reviewed articles or credible sources (e.g., HIMSS, ANA, peer-reviewed journals on HIT implementation).
File Naming: LastName_FirstInitial_WK6Assgn (e.g., Smith_J_WK6Assgn.docx or .pdf).
Required & Recommended Resources (to cite in your paper) McGonigle, D., & Mastrian, K. G. (latest edition). Nursing Informatics and the Foundation of Knowledge. Chapter 9: Systems Development Life Cycle
Chapter 10: Administrative Information Systems
Chapter 11: Ethical Considerations in Nursing Informatics
ANA Nursing Informatics: Scope and Standards of Practice
Laureate Education media: “Successful Implementation of Electronic Health Information Technology”
Peer-reviewed articles: Search CINAHL/PubMed for “EHR implementation barriers,” “HIT adoption facilitators,” “nursing informatics change management.”
Optional: Kotter’s 8-Step Change Model, Rogers’ Diffusion of Innovations theory.
Rubric Focus (typical Walden criteria for this assignment) Excellent (90–100%): Thorough, realistic scenario with clear description of implementation context.
In-depth analysis of multiple barriers and facilitators, supported by strong evidence.
Well-developed, evidence-based recommendations tied to SDLC/change theory.
Insightful reflection demonstrating synthesis of course concepts.
Excellent APA, grammar, organization, and scholarly tone.
Good (80–89%): Solid analysis but less depth in recommendations or reflection.
Fair/Poor: Vague scenario, limited evidence, weak recommendations, or APA errors.
Tips for Success Choose a strong scenario: EHR implementation (Epic, Cerner), smart pumps, or telehealth rollout are easiest to find literature support for.
Balance barriers and facilitators: Aim for 3 each; use real-world examples (e.g., alert fatigue as barrier, nurse champions as facilitator).
Tie to SDLC: Reference specific phases (e.g., “poor user involvement in design phase caused resistance”).
Recommendations: Make them actionable and evidence-based (e.g., “Involve end-users early per Kotter’s step 1: create urgency”).
APA: Cite frequently (e.g., McGonigle & Mastrian, 2022, p. XX) and include page numbers where possible.
Submit early to check Turnitin similarity score (aim <20% excluding references).
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